Organization
LISA P. OTEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY HARRIS (OFFICE ADMINASTRATOR)
(713) 790-9265
Entity
Organization
Contact information
Practice address
7900 FANNIN ST STE 3200, HOUSTON, TX 77054-2942
(713) 790-9265
(713) 790-1006
Mailing address
7900 FANNIN ST STE 3200, HOUSTON, TX 77054-2942
(713) 790-9265
(713) 790-1006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1342
TX
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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